The Concept of Impairment
A Philosophical Investigation
Impairment looks obvious until the question is pressed. A scale returns a number, a diagnosis follows, and decisions of real consequence are taken on that basis. This book takes the concept apart and shows it to be composite rather than simple, assembled from biological function, lived experience, social environment, norms and values, the effects of classification itself, and the standpoint from which the judgement is made. The argument is that calling a person impaired, without saying against what comparison, states very little at all.
- Kindle edition — published 9 June 2026
- Written for clinicians, and readable by anyone who assesses, commissions or contests impairment